Career Achievement Award
Nomination Form
Important: Carefully read the ‘Career Achievement Award Criteria and Instructions’ before completing this form.
- Nominee
Name:Click here to enter text.
Position:Click here to enter text.
Organisation:Click here to enter text.
Email:Click here to enter text.
Telephone:Click here to enter text.
- Details of person to contact if further information is required (this person will also be contacted regarding the outcome of this nomination)
Name:Click here to enter text.
Position:Click here to enter text.
Organisation:Click here to enter text.
City/Town:Click here to enter text.
State/Territory:Click here to enter text.
Email:Click here to enter text.
Telephone:Click here to enter text.
- Has the nominee worked in the Australasian rail industry for more than 25 years?
☐ Yes☐ No
- How long has the nominee worked in the rail industry and what positions have they held (summarise main roles)?
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- Provide examples of how the nominee has demonstrated leadership and personal integrity throughout their career
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- During the nominee's time in the rail industry, what notable projects/activities have they initiated and/or led?
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- What did the nominee's involvement provide to the projects/activities mentioned in question 6?
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- What did these projects/activities achieve for the organisation/rail industry?
In 200 words or less, why should the nominee receive the Australasian Rail Industry Career Achievement Award?
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SELF NOMINATIONS
Are you submitting a self-nomination?
☐ Yes (see below)☐ No (you are not required to complete this section)
If Yes, you must include:
- second/third party endorsement, and
- contact details of a referee.
Endorsement
☐Detailed endorsement attached
Referee
Name of Referee:Click here to enter text.
Position:Click here to enter text.
Organisation:Click here to enter text.
Email:Click here to enter text.
Telephone:Click here to enter text.
SUBMITTING NOMINATION - Nominations close Friday 20 April 2018
☐Nomination (saved with the category title and nomination company/individual)
☐Supporting material (saved with attachment number, category title and nominating company/individual
Email your nomination to
For assistance contact Janet Cameron, or 02 6270 4527.
PERMISSION TO SHARE KEY POINTS OF NOMINATION
In the interests of the sharing of corporate knowledge, I give permission for the key points of my nomination to be shared with the wider rail industry.
☐ Yes☐ No
If yes, please provide below an overview of your nomination (up to one A4 page) and contact details for further information, for inclusion in the Rail Knowledge Bank and the Awards website.
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Contact details for further information:
Name:Click here to enter text.
Position:Click here to enter text.
Organisation:Click here to enter text.
Email:Click here to enter text.
Telephone:Click here to enter text.